国医大师梅国强教授从手足少阳同病论治不明原因发热验案举隅

Proved Cases of Professor Mei Guoqiang in Treating Fever of Unknown Origin Based on Two Meridians of Hand and Foot Shaoyang Getting Sick Simultaneously

手足少阳二经在生理上相互联系,在病理上互相影响。梅国强教授擅长从手足少阳二经同病论治疑难杂症,同时临证之际十分重视舌象;不明原因发热属于中医的“内伤发热”范畴,对于病机属于湿(痰)热浊邪阻滞,且少阳枢机不利者,梅教授倡导从手足少阳二经同病论治,治则以和解少阳为主,常将小柴胡汤、蒿芩清胆汤和达原饮三方合用,灵活加减化裁,疗效显著。

Two meridians of hand and foot shaoyang are physiologically related to each other,and there is a mutual influence between them.Professor Mei Guoqiang is expert in treating difficult and miscellaneous diseases from the prospective of two meridians of hand and foot shaoyang being ill at the same time,who attaches great importance to the tongue image when treating diseases.In traditional Chinese medicine,fever of unknown origin(FUO)belongs to the category of“internal injury and fever”,for the pathogenesis belonging to dampness(phlegm)-heat and turbid evil blocking,as well as dysfunction of shaoyang pivot,Professor Mei advocates to treat the symptoms of traditional Chinese medicine in view of two meridians of hand and foot Shaoyang being ill at the same time,the therapeutic principles of which is mainly to reconcile two meridians of hand and foot shaoyang.Professor Mei often combines Xiaochaihu decoction,Haoqin Qingdan decoction and Dayuan drink with flexible addition and subtraction in clinical practice,and the curative effect is remarkable.